Johnson, John R.

Johnson, John R. is an individual health care provider with primary practice located at 95 Bryan Blvd , Corbin KY 40701-2788. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Johnson, John R. can be contacted via phone (606) 526-4590.

Contact Information

Primary practice address
95 Bryan Blvd Corbin KY 40701-2788
Phone: (606) 526-4590
Fax: (606) 526-0548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 21412 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21412 Kentucky

Profile Details

NPI number 1417028762
LBN Legal business name Johnson, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417028762 NPPES
Kentucky Other 21412 KY LIC#

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